Scaling & Root Planing: Deep Cleaning for Gum Disease Explained

Scaling and root planing (SRP)—often called “deep cleaning”—is the gold-standard non-surgical treatment for periodontitis. It removes calculus and bacteria below the gumline and smooths root surfaces to promote reattachment.

Procedure Steps

1. Assessment: Probing depths, radiographs, inflammation grading.
2. Anesthesia: Local numbing for comfort.
3. Scaling: Ultrasonic and hand instruments remove plaque/calculus from crown and root surfaces.
4. Root planing: Curettes smooth cementum, removing bacterial endotoxin layer.
5. Adjuncts (as needed): Local antibiotics (Arestin), antimicrobial irrigation.

Post-Treatment Expectations

• Mild soreness 24–48 hours (OTC analgesics suffice).
• Transient sensitivity to cold.
• Slight gum recession as inflammation resolves—healthy reattachment follows.

Maintenance Is Critical

• 3-month periodontal maintenance visits initially.
• Meticulous home care: electric brush, interdental cleaning.
• Risk factor control: smoking cessation, diabetes management.

SRP halts bone loss and saves teeth. Commitment to maintenance determines long-term success.